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CITY OF EVERETT <br />ppplication aud Gas Installation Permit <br />All Work to be Done in Accordance'with ' <br />City Ordinance <br />l, f _- <br />Everett, Washington:..:...:.. f `.�.� <J... (�...:..._..., 19��:1.. <br />• ? / : �F <br />� ...---- - <br />� ..---.�_�{r� ... <br />I C.::,..r.....G.-:..l..d, f <br />Location....,'......._.... _ ._. ._ __. <br />�. <br />� �( a t�,.."�" !.. Lv-."y��o-v' .. .. .. <br />Owner...... t•-•- <br />� _ <br />.:.. ... t'L�::dtUT7l,+'...� � r � e-�.��� �........ <br />Applicant .. .............:.........:...:....`�....:.�..�:-C.. <br />Rough piping inspection — -- <br />p�pe �n excess of 60' ---- Gas Stoves _-- -- <br />Gas refrigerarors _-- Gas water heaters _�----- <br />Gas space heaters to 70,000 B.T.U. input --- -- <br />Gas space heaters over 70,000 B.T.U. input — ---- <br />Gas fumaces to 400,000 B.T.U. input -- <br />Gas fumaces over 400,000 D.T.U. input _--- -- <br />Conversion units to 400,000 B.T.U. input -- <br />Conversion units over 400,000 B.T.U. input -_----- - <br />Small appliances_.---- -- -- --- <br />---- -------'------._. � <br />Call 6acic;lnspection __--- Fee Paid 5.� �-.—�-•;� <br />----- -- --- __Applicanf <br />_ -- <br />__ / <br />t t:� �_ ��_-�_1 � _:�_`�. __ _ -�----_. <br />By. ._ - , <br />Plans approved and PermiY grented as requesYed tierein. <br />i <br />�,-�:.1.�C'1.r.s� �_---. _ Jnspector <br />. . - <br />. - (.r �-----..�_.. <br />— <br />1 <br />_1�_ / 1 �._ _._- ---- �-- <br />Q)' _.. . _ - — <br />PERMIT ' ��,' `' �' `�� ' <br />